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Health spending growth rate surges to 5.3% under ACA

Health spending growth rate surges to 5.3% under ACA

By Bob Herman  |  December 02, 2015

The Affordable Care Act expanded health coverage to millions of Americans in 2014. Because more people had insurance to pay for healthcare services, demand and spending predictably went up more quickly.

Hospitals say CMS payment rule could shut down their labs

By Virgil Dickson  |  December 02, 2015

Hospitals say they'll be grossly underpaid if the CMS moves forward with a proposal to base lab payments on what non-hospital labs are paid. That could lead to labs closing and beneficiaries losing access to tests, providers said.

Slim margin of error for Republican ACA repeal efforts

Slim margin of error for Republican ACA repeal efforts

By Shannon Muchmore  |  December 02, 2015

The Senate took up a bill Wednesday to repeal parts of the Affordable Care Act and was expected to continue debating the legislation into Thursday night. The White House, meanwhile, formally signaled a veto.

CMS holds firm on disputed two-midnight pay cut to hospitals

By Lisa Schencker  |  December 01, 2015

The CMS is standing behind the cut to inpatient pay rates under the two-midnight rule despite ongoing legal battles with hospitals over the reduction. That doesn't bode well for hospitals' efforts to persuade courts to reverse the cut, legal experts say.

Family docs question benefits of new payment models

By Virgil Dickson  |  December 01, 2015

Family physicians have reservations about their ability to thrive in the shift by Medicare and other payers to value-based payment models—and about whether the shift will deliver the promised benefits for patients.

Chicago's storied public hospital system gets boost from its new Medicaid plan

Chicago's storied public hospital system gets boost from its new Medicaid plan

By Bob Herman  |  November 28, 2015

As more Americans gain Medicaid coverage, investing in a health plan is a potential lifeline for urban safety net systems. In Chicago, the Cook County Health and Hospitals System and its patients have both seen their health improve with CountyCare, the system's Medicaid managed-care plan.

ACA problems should come as no surprise

ACA problems should come as no surprise

By Harris Meyer  |  November 28, 2015

UnitedHealth Group's announcement this month that it will consider exiting the insurance exchanges in 2017 because of sizable financial losses on its exchange business was the latest in a series of blows to the Affordable Care Act.

Medicaid vies for attention in physician payment reform

By Virgil Dickson  |  November 25, 2015

Medicaid agencies want federal officials to keep them in mind as they incorporate participation in alternative payment models with all types of payers into Medicare's reimbursement rates for physicians.

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